Kuvunika kkle ni bumwe mu bwoko busanzwe bwo kuvunika mumyitozo ya clinique. Usibye amanota yo mu cyiciro cya I / II kuzenguruka no gukomeretsa, kuvunika amaguru menshi ubusanzwe birimo Malleolus. Weber A / B Kwandika Gacract ya Mainleolus mubisanzwe bivamo ibinyuranye na tibiofibulasise ya tibiofibular Ibinyuranye, C-Ubwoko bwa Malleolus ya Mainleolus birimo guhungabana muri malleolus kuruhande rwamasemburo eshatu kubera imvura itandatu yo kwimura, kugabanya / kurambura / kurambirwa Kwimurwa, no guhuza ibyo ubwoko butanu bwibikomere.
Ubushakashatsi bwinshi bwagaragaje ko kugabanya / kurambura birashobora gusuzumwa binyuze mu gusuzuma ikimenyetso cya dime, umurongo wa Stenton, hamwe n'inguni yo mu turere. Kwimurwa mu ndege na SAGITTAL birashobora gusuzumwa neza ukoresheje ibitekerezo byimbere kandi bitaje; Nyamara, kwimurika ku isi nibyo bigoye cyane gusuzuma inzitizi.
Ingorane zo gusuzuma imurikagurisha risimbuka ziragaragara cyane cyane mugutaka fibula mugihe winjije muri tibiofibular tibiofibular. Ibitabo byinshi byerekana ko nyuma yo kwinjiza muri tibiofibular tibiofibular, hari 25% byabaye igabanuka ribi, bikaviramo masani no gukosora ibyapa bya fibula. Bamwe mu bahanga basabye gukoresha isuzuma rya CT CT, ariko ibi birashobora kugorana gushyira mubikorwa. Kugira ngo iki kibazo cyo gukemura iki kibazo, muri 2019, Porofeseri Zhang Shimin yaturutse mu bitaro byangpu yashyize hamwe muri kaminuza mpuzamahanga yangpi. Raporo yubuvanganzo ifite agaciro ka kavukire yuburyo.
Urufatiro rwibikoresho ni uko muri fluoscopique kureba akaguru, urukuta rwa cortex rwigicucu cya Malleolilar rusobanutse kandi ruhagaze hagati ya kimwe cya gatatu cyumurongo gihuza umurongo wa Malleolus kuruhande.
Ishusho ya Ankle Fluoscopique yerekana umubano wihuse hagati yurukuta rwa Fortel Cortex yinyuma ya Fortel fortex (B-umurongo) na cortices ya malleolus yinyuma (umurongo wa a na c. Mubisanzwe, b-umurongo uherereye kumurongo umwe-wa gatatu hagati yumurongo a na c.
Umwanya usanzwe wa Mainleolus ya Mainleolus, kuzunguruka hanze, no kuzunguruka imbere birashobora gutanga isura zitandukanye zamashusho muburyo bwa fluoscopique:
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-Umuvuduko wa Malleolus yo hanze **: RolLeolus ya Malleolus igaragara "Hagaragaye Igicucu cya Folyalar kirashira, Umwanya wa Tibiofibubular kuri Mallerral urashira, umurongo wa Tireton uhinduka kandi ugatatana.
-Umuvuduko wa Malleolus yo kuzunguruka imbere **: RolLeolus ya Malleolus igaragara "igicucu cya cory," igicucu cya cortique kuri FILLALOLL LIGNALL LIGNALL.
Iyi kipe yarimo abarwayi 56 bafite ubwoko bwa C-Ubwoko bwa Mallege yahujwe hamwe n'ibikomere bya Syndesmosis ya kure kandi bakoresha uburyo bwo gusuzuma bwa mbere. Nyuma ya CT re-ibizamini byerekanye ko abarwayi 44 bageze ku kugabanya anatomic nta bumuga bwo ku isi Nta manza zo gushyira mu gaciro (5-10 °) cyangwa gukabije (kurenza 10 °) uburyo bwo kuzenguruka hanze bwabaye.
Ubushakashatsi bwambere bwerekanye ko isuzuma ryibicuruzwa bya Malleire ya Lirquaral bishobora gushingira kubipimo bitatu byingenzi muri Weber: Bingana hagati ya tibial na talar iri hejuru, gukomeza umurongo wa dimeton, nibimenyetso bya dime.
Kugabanuka nabi Malleolus nikibazo rusange cyane mumico ya clinique. Nubwo kwitabwaho bikwiye kugarura uburebure, bifite akamaro kangana bigomba gushyirwa ku gukosora kuzunguruka. Nkibintu bihuriweho nuburemere, imidendebu mibi ya Akle irashobora kugira ingaruka mbi kubikorwa byayo. Byemezwa ko tekinike ya fluoscopique yasabwe na Porofeseri Zhang Shimin irashobora gufasha mugushingwa neza kuri C-Ubwoko bwa Malle Ropeling. Ubu buhanga bukora nkibisobanuro byingenzi kubaganga bakuru.
Igihe cya nyuma: Gicurasi-06-2024
